• 제목/요약/키워드: Marital status

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중국 거주 조선인의 불안과 우울에 관한 실태 (Anxiety and Depression of The Korean Residents in China)

  • 사공정규;정성덕;김창수;김철구;김봉진
    • Journal of Yeungnam Medical Science
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    • 제9권2호
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    • pp.275-287
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    • 1992
  • 중국연변자치구에 있는 연길시에 거주하는 주민중, 조선족472명과 한족479명을 대상으로 1991년 1월에서 1991년 3월까지 통합불안우울척도를 사용하여 평가한 결과는 다음과 같다. 불안, 우울성적의 총평균점은 조선족이 $29.70{\pm}7.03$이었고 한족은 $29.45{\pm}9.01$로 유의한 차이가 없었고, 항목별성적에서 조선족이 높게 평가한 불안-우울척도의 상위 항목들은 피로, 소화불량 및 식욕감소, 수명장애, 악몽, 건강염려등이며 조선족이 낮게 평가한 하위수준의 항목은 졸도감, 두려움, 자살의도, 절망감, 이상감각 등이며 한족이 높게 평가한 상위 항목은 피로, 악몽, 불안감, 불만족, 정신붕괴, 건강염려등이었으며 한족이 평가한 하위수준의 항목은 두려움, 졸도감, 이상감각, 체중저하, 자살의도 등이었고, 두그룹비교에서 조선족이 한족에 비해 높게 평가한 항목은 소화불량 및 식욕감소(p<0.01), 수면장애(p<0.01), 건강염려, 감소된 성욕(각각p<0.05) 등의 항목이며 한족이 높게 평가한 항목은 안면 홍조p<0.01), 불안감, 불만족, 자살의도(각각p<0.05) 등의 항목이었다. 통합 불안, 우울척도의 총점이 50점이상인 고득점자는 조선족이 12명(2.54%) 한족이 21명(4.38%)였다. 사회정신의학적 요인 평가에서 양궁 모두 여성 20세미만의 경우(각각p<0.01),와 가정분위기에 불만인 경우(각각p<0.01), 정신과적 입원 경험이 있는 경우(조선족p<0.01, 한족p<0.05)와 과거, 현재, 미래에 대한 자아관의 태도가 비관적인 경우(각각p<0.01) 유의하게 높은 성적을 보였으며 종교의 요소에 대해서는 유의한 차이가 없었다. 결혼 여부에 대해서는 조선족에서는 이혼 및 별거의 경우 높았고, 한족에서는 미혼인 경우 높았으며(각각p<0.01), 교육에 대해서 조선족은 무학의 경우 높았고, 한족은 대졸의 경우 높았으며(각각p<0.01), 성장지에 대해서는 조선족의 경우 성장지별간에 유의한 차이점은 없었으나, 한족의 경우 대도시에서(p<0.01) 유의하게 높은 성적을 보였다. 현재 거주지에 대해서 조선족은 기숙사의경우 높았고, 한족은 자취의 경우 높았으며(각각p<0.01), 잡비에 대해서 조선족은 $1미만에서 높았고, 한족은 $7-10의 경우 높았다(각각p<0.01).

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항암제 투여 환자의 우울 양상 (The Characteristics of Depression in Cancer Patients on Chemotherapy)

  • 주열;서완석;김진성;이종범;정성덕;송신호;배대석;이경희;현명수
    • 정신신체의학
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    • 제10권2호
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    • pp.154-165
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    • 2002
  • 목적: 입원 치료 중인 항암제 투여 환자의 우울 양상을 알아보기 위해 본 연구를 시행하였다. 방법: 2001년 11월부터 12월까지 영남대학교 의과대학 부속병원 종양내과에 입원한 대상으로 Beck's depression inventory(이하 BDI), Zung's depression scale (이하 ZDS), Hamilton depression scale(이하 HDS)을 시행하였고 정신과적 면담을 통해 축 I 질환을 진단하였다. 결과: 대상군에서 각 우울 척도의 평균 접수는 BDI 18.27${\pm}$7.73, ZDS 36.51${\pm}$10.82, HDS 15.14${\pm}$6.60으로 나타났다. 성별, 결혼상태, 종교에 따른 우울척도의 차이는 나타나지 않았다. 대상은 위암 13명, 폐암 11명, 혈액종양 10명, 기타 종양 3명(자궁암 2명, 두경부암 1 명)이었다. 고용량의 항암치료를 받는 기타 종양군의 HDS, ZDS 점수가 다른 종양군에 비해 높았다. 8명(21.6%)은 주요우울장애로, 11명(29.7%)은 적응장애로 진단되었다. 주요우울장애군에서 ZDS의 우울감, 일의 어려움, 불안, 정신활동성 지체 항목의 점수가 다른 진단군에 비해 높았다. 장애군에서 ZDS의 변비, 피로, 식욕 감소, 공허감, 수면장애, 불만족, 체중감소 항목, HDS의 건강염려증, 초조, 피로, 성욕 감소 문항의 점수가 높았다. 결론: 항암제 투여 중인 입원 환자에 있어서 적응장애와 주요우울장애와 같은 정신과적 질환이 동반될 수 있다. 정신의학적 접근이 암환자의 삶의 질을 증가시키고 치료 순응도 측면에 있어서도 중요하다. 항암제 치료중인 환자의 우울 장애 진단시 우울 증상과 혼동될 수 있는 다양한 선체 증상을 감별하기 위하여 암의 부위, 임상 경과, 치료 방법, 항암제의 부작용에 대한 고려가 선행되어야 할 것으로 생각된다.

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간호·간병통합서비스를 이용한 입원환자가 인식한 간호사의 의사소통유형, 간호서비스 만족도 및 병원재이용 의도의 관계 (The Relation of Communication Types of Nurses, Satisfaction on Nursing Services and Intent to Revisit the Hospital Perceived by Patients Admitted to Comprehensive Nursing Care Service)

  • 김소영;김동원;이선미
    • 한국산학기술학회논문지
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    • 제18권11호
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    • pp.321-331
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    • 2017
  • 본 연구는 간호 통합서비스가 확대 실시되고 있는 시점에 맞추어 입원환자가 인식한 간호사의 의사소통유형과 간호서비스 만족도, 병원 재이용 의도를 파악하고, 병원 재이용 의도에 영향을 미치는 영향요인을 규명하고자 시도하였다. 연구대상자는 경상남도에 소재한 간호 간병서비스를 제공하는 100병상 이상의 6개 종합병원의 입원환자 123명을 대상으로 하였다. 자료 수집은 2017년 7월 1일부터 7월 30일까지의 기간 동안에 자가 보고형 설문조사를 하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 t-test와 ANOVA, Person's correlation coefficients, hierarchical regression으로 분석하였다. 연구결과는 다음과 같다. 대상자의 병원 재이용 의도 정도는 연령(F=9.83, p<.001), 성별(t=-3.82, p<.001), 배우자 유무(t=2.24, p=.028), 학력(F=11.92, p<.001), 입원기간(F=7.81, p<.001)에 따라서 통계적으로 유의한 차이가 있었다. 병원 재이용 의도는 정보 제공적(r=.609, p<.001), 친화적(r=.536, p<.001) 의사소통 유형과 간호서비스 만족도(r=.797, p<.001)간에 유의한 정적 상관관계가 있었으며, 권위적 의사소통 유형(r=-.356, p<.001)간에는 유의한 부적 상관관계가 있었다. 병원 재이용 의도에 영향을 미치는 요인은 정보 제공적 의사소통 유형(${\beta}=.38$, p=.003)과 간호서비스 만족도(${\beta}=.84$, p<.001)이었다. 따라서 간호 간병통합서비스 입원환자의 간호서비스 질과 고객만족을 향상시키기 위해서는 간호사와 환자의 효과적인 의사소통을 위한 다양한 교육 프로그램 개발과 체계적인 교육이 필요하다.

종합병원 간호사의 교대근무와 건강상태에 관한 연구 (A Study of Health Condion and Shift Service of the Nurse in)

  • 김순옥
    • 간호행정학회지
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    • 제3권1호
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    • pp.119-133
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    • 1997
  • Continuing shift service of clinical nurses can be not only the cause of occupational dissatisfaction by being connected with the change of circadian rhythm and the burden of duties to be applicable to such changes. But also of inviting the lowering of nursing quality by being affected to the resignation of the nurses as the threat to the health of the nurses. This study has selected 500 nurses at random under non-probability sampling who have been serving by shift in 7 general hospitals which have over 400 sickbeds for the purpose of cross-sectional survey design from Sep. 7 through 20, 1996. Standardized modification of the CMI has been used which was designed for Koreans with Cornell Medical Index developed by Broadman and his fellow workers as the study device. The structure of the device was composed of 35 questions on physical appeal(Chronbach's ${\alpha}=8507$) and 22 questions of mental appeal(Cronbach's ${\alpha}=.8166$ totalling 57 questions. The collected data has been computerrized by using SPSS. General character, present symptom, perceived symptom and others are sought by practical number and percentage, and the health condition comparison followed by general characters was conducted by t-test and ANOVA. The post test was by Duncan's test by the level of p<.05. 1) The items of the answer that they have the physical symptom presently by 50% or over of the nurses were as "Do you often have spells of severe dizziness", "Are your eyes often red or inflamed", "Does press or pain in the head often make like miserable", "Are your ankles often badly swollen", "Do pains in the back make it hard for you to keep up with your work". 2) The items of the answer by over 50% of the nurses as the mental symptom at present were "do you fell bad when criticized?", "Do you get angry when everything is against your will?", "do you get angry when ordered to do this and that?", "do you feel uneasy by such a trifle thing?", "do you tremble or are you freightened by sudden sound?". The mental and physical symptoms which have appeared presently in connection with the shift service have been agreed with each other. But the physical condition has been worse than the mental one. 3) In the physical health conditions followed by demosociological character, there were the significant differences by sex, religion and place of residence(p<.05), and in the mental health conditions, there were the significant differences by age, marital status, residence place and the required time for attending hospital(p<.05). 4) There was significant difference by the degree of satisfaction about the duty in both the physical and mental health conditions. In short, the higher the degree of duty satisfaction, the better the health conditions. 5) There were the significant difference according to the times of night duty and whether they take the drug or not or the kinds of the drugs in the physical health conditions related with the characters of night shift. Mental health conditions in the night shift case showed significant differences according to their taking drug or not or the kinds of the drugs(p<.05). I can confirm that the nurses have been affected continuously by the shift service mentally and physically. The maintenance of the physical and mental health of the nurses and its promotion are very important problem to guarantee the quality nursing in the performance of the nursing service continuously and effectively, so the hospital should make every effort to improve the duty conditions by finding out the causes affecting to their health. In the nursing management viewpoint, I think that elevating the satisfaction degree about the duty would be a great help to the promotion of physical and mental health conditions. But what is most important is that the nurses themselves should take care of themselves in maintaining the good conditions in their service in the hospital.

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J지역 치과위생사의 직무만족 관련요인 분석 (A Study on Factors Related to the Job Satisfaction of Dental Hygienists in J Region)

  • 이현옥;임춘희;주온주;김영임;이혜경
    • 치위생과학회지
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    • 제6권4호
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    • pp.285-293
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    • 2006
  • J지역사회 치과위생사의 효과적인 업무수행을 위해 직무만족에 영향을 미치는 관련요인을 분석하고자 2006년 7월 24일부터 9월 24일까지 전라북도에서 근무하는 치과위생사 156명을 대상으로 설문조사를 조사하였으며, SPSS(Ver. 12.0) 프로그램을 이용하여 통계 분석한 결과 다음과 같은 결론을 얻었다. 1. 치과위생사의 직무만족도의 전체평균은 5점 만점에서 2.83으로 낮은 정도를 나타냈으며, 각 요인별 직무만족도는 동료관계요인이 3.21으로 가장 높은 만족수준을 나타냈고, 장래성요인은 3.10, 자율성요인 3.07, 환경요인 2.99, 보수요인은 2.55이었고, 업무량요인은 2.03으로 가장 낮은 만족수준을 나타냈다. 2. 치과위생사의 일반적 특성에 따른 직무만족도에 유의하게 영향을 주는 요인은 연령별에서는 자율성요인(p < 0.001)이었고, 결혼여부에서는 자율성요인(p < 0.001), 보수요인 (p < 0.05)이었으며, 미혼보다 기혼이 만족도가 높게 나타났다. 근무지별로는 장래성요인과 동료관계요인(p < 0.001)이었고, 치과대학(부속)병원에서 만족도가 높게 나타났다. 근무경력에서는 자율성요인(p < 0.001)과 환경요인(p < 0.05)이었고, 근무경력이 높을수록 만족도가 높았다. 최종학력별로는 자율성요인(p < 0.001), 업무량요인과 환경요인(p <0.05)이었고, 학력이 높을수록 만족도가 높았다. 월평균 소득별로는 자율성요인과 보수요인(p < 0.001), 장래성요인(p < 0.05)이었고, 170-189만원의 경우가 만족도가 높게 나타났다. 3. 전반적인 만족도와 만족도에 영향을 미치는 요인간의 상관관계분석에서 전반적인 만족도는 자율성요인(r = 0.485),장래성요인(r = 0.222), 보수요인(r = 0.355), 동료관계요인(r = 0.280), 환경요인(r = 0.380)들에 의해 영향을 받고 있었으며, 만족요인들의 만족도가 높을수록 전반적인 만족도도 높게 나타났고, 통계적으로 유의한 차이가 있었다(p < 0.01). 4. 직무만족 요인에 각 요인들이 어느 정도의 설명력을 가지고 있는지 알아보기 위해 다중회귀분석을 실시한 결과, 자율성요인이 가장 크게 영향을 미치는 것으로 나타났으며, 다음으로 보수요인, 장래성요인, 환경요인, 업무량요인의 순으로 나타났고, 만족 요인이 만족도 점수에 미치는 영향에 대한 설명력은 40.2%였다.

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대학병원 응급실 내 1급 응급구조사의 업무와 직무만족도 (The Work and Job Satisfaction of Paramedics in the Emergency Room of University Hospitals)

  • 이옥희
    • 한국응급구조학회지
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    • 제15권1호
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    • pp.47-63
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    • 2011
  • Purpose : This research is to examine the work and job satisfaction of paramedics in the emergency room of university hospitals. This research is done to provide basic data needed for establishing work realms of paramedics in hospitals and to enhance their degree of satisfaction. Methods : Research questionnaire survey was conducted on 141 paramedics working in the emergency room of 32 university hospitals from August 24, 2010 to September 30, 2010 through direct visits and telephone interviews or email to explain the purpose of this research and assurance of confidentiality of responses on the questionnaires. As the tool for the degree of job satisfaction, 'The Index of Work Satisfaction' developed by Slavitt, et al(1978) and revised and supplemented by Soon-shim Kim and Hye-ran Kwon(2002) was used. The collected data were analyzed by evaluating frequency, percentage, mean, standard deviation, t-test and ANOVA, Cronbach's $\alpha$ by using SPSS WIN 18.0 program. Results : 1. Investigating the work and role of paramedics in the emergency room of university hospitals, electrocardiogram(EKG) was found to be highest with $\alpha$ was widely used with the rate of patient evaluation and test area. In the medical treatment for patients area, cardiopulmonary resuscitation(CPR) with 95%(134 persons) and ventilation assistance through ambu bagging(BVM) with 95%(134 persons) were found to be high. $\alpha$ were performed. In the role within the hospital and other areas, a member of CPR team in the hospital accounted for 78%(110 persons). 2. In the measurements of the job satisfaction of paramedics working at university hospitals, the total mean score was 2.91. The mean score in each question area indicated: section on job 3.48, autonomy 3.05, interaction 3.01, organizational demand 2.85, working conditions 2.67, salaries 2.40. This result obviously demonstrates the work of paramedics itself was most satisfied but the salaries were most dissatisfied. 3. In the measurements of the job satisfaction of paramedics working at university hospitals, job satisfaction based on the general characteristics showed significant difference in age (F=6.547, p=.002), gender (F=4.436, p=.000) marital status (F=-3.270, p= .001), religion (F=2.041, p= .043), motive for application (F=3.603, p= .015), and salary (F=6.658, p= .000). 대학병원 응급실 내 1급 응급구조사의 업무와 직무만족도 The Journal of the Korean Society of Emergency Medical Technology Vol. 15 (1) 63 4. In the measurements of the job satisfaction of paramedics working at university hospitals, job satisfaction based on the working environmental characteristics showed significant difference in total number of paramedics (F=3.779, p= .012), form of employment (F=5.601, p= .001), existence or non-existence of intention to change jobs (F=-4.037, p= .000). Conclusion : The work of paramedics in the emergency room of university hospitals consists of lots of treatment processes after specialized diagnosis and performance of professionally subdivided works. However, current legislation does not reflect such circumstances to which paramedics are exposed; thus, it should be considered for further revision and modification. The degree of job satisfaction of paramedics in the emergency room of university hospitals was high but low in salaries and working conditions were the weak points. The measures to enhance their degree of job satisfaction should be taken though improvement of labor conditions such as consideration of the rate of increase in salaries, compensation for overtime work, providing rest areas, improvement of current employment system, and conversion of temporary employees into regular employees.

산업장 교대근무 근로자의 건강증진행위 예측요인 (Predictive Factors of Health promotion behaviors of Industrial Shift Workers)

  • 김영미
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.13-30
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    • 2002
  • Industrial shift workers feels suffer mental stresses which are caused by unfamiliar day sleep, noisy environment, sleeping disorder by bright light, unusual contacts with family, difficulty in meeting with friends or having formal social meetings and other social limitations such as the use of transportation. Such stresses influence health of the workers negatively. Thus the health promotion policy for shift workers should be made considering the workers' ways of living and shift work specially. This study attempted to provide basic information for development of the health promotion program for industrial shift workers by examining predictive factors influencing health promotion behaviors of those workers. In designing the study, three power generation plants located in Pusan and south Kyungsang province were randomly selected and therefrom 280 workers at central control, boiler and turbine rooms and environmental chemistry parts whose processes require shift works were sampled as subjects of the study. Data were collected two times from September 17 to October 8, 1999 using questionnaires with helps of safety and health managers of the plants. The questionnaires were distributed through mails or direct visits. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of internal locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of social support measurement by Paek(1995). The collected data were analyzed using SPSS program. Controlling factors of the subjects were evaluated in terms of frequency and percentage ratio Perceived factors and health promotion behaviors of the subjects were done so in terms of mean and standard deviation, and average mark and standard deviation, respectively. Relations between controlling and perceived factors were analyzed using t-test and ANOVA and those between perceived factors and the performance of health promotion behaviors, using Pearson's Correlation Coefficient. The performance of health promotion behaviors was tested using t-test, ANOVA and post multi-comparison (Scheffe test). Predictive factors of health promotion behavior were examined through the Stepwise Multiple Regression Analysis. Results of the study are summarized as follows. 1. The performance of health promotion behaviors by the subjects was evaluated as having the value of mean, $161.27{\pm}26.73$ points(min.:60, max.:240) and average mark, $2.68{\pm}0.44$ points(min.:1, max.:4). When the performance was analyzed according to related aspects, it showed the highest level in harmonious relation with average mark, $3.15{\pm}.56$ points, followed by hygienic life($3.03{\pm}.55$), self-realization ($2.84{\pm}.55$), emotional support($2.73{\pm}.61$), regular meals($2.71{\pm}.76$), self-control($2.62{\pm}.63$), health diet($2.62{\pm}.56$), rest and sleep($2.60{\pm}.59$), exercise and activity($2.53{\pm}.57$), diet control($2.52{\pm}.56$) and special health management($2.06{\pm}.65$). 2. In relations between perceived factors of the subjects(self-efficacy, internal locus of control, perceived health state) and the performance of health promotion behaviors, the performance was found having significantly pure relations with self-efficacy (r=.524, P=.000), internal locus of control (r=.225, P=.000) and perceived health state(r=.244, P=.000). The higher each evaluated point of the three factors was, the higher the performance was in level. 3. When relations between the controlling factors(demography-based social, health-related, job-related and human relations characteristics) and the performance of health promotion behaviors were analyzed, the performance showed significant differences according to marital status (t=2.09, P= .03), religion(F=3.93, P= .00) and participation in religious activities (F=8.10, P= .00) out of demography-based characteristics, medical examination results (F=7.20, P= .00) and methods of the collection of health knowledge and information(F=3.41, P= .01) and methods of desired health education(F=3.41, P= .01) out of health-related characteristics, detrimental factors perception(F=4.49, P= .01) and job satisfaction(F=8.41, P= .00) out of job-related characteristics and social support(F=14.69, P= .00) out of human relations characteristics. 4. The factor which is a variable predicting best the performance of health promotion behaviors by the subjects was the self-efficacy accounting for 27.4% of the prediction, followed by participation in religious activities, social support, job satisfaction, received health state and internal locus of control in order all of which totally account for 41.0%. In conclusion, the predictive factor which most influence the performance of health promotion behaviors by shift workers was self-efficacy. To promote the sense, therefore, it is necessary to develop the nursing intervention program considering predictive factors as variables identified in this study. Further industrial nurses should play their roles actively to help shift workers increase their capability of self-management of health.

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만성질환자 배우자의 돌봄 경험에 대한 이론 구축 (A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness)

  • 최경숙;은영
    • 대한간호학회지
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    • 제30권1호
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    • pp.122-136
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    • 2000
  • Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands′ care for their wives through a qualitative research into husbands′ experience. Method 1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won. Method 2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied. Result: 1. Husbands′ burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband′s burden correlated with the age of the patients, numbers in the family, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and the husband′s understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands′ burden is explained in 22.5% by husband′s recognition of level of severity and husbands′ age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and husband′s understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients′ experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands′ identification of housework and husbands′ concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients′ to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands′ companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

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지역사회참여와 파트너쉽에 기반을 둔 지역건강증진사업의 효과: 진주시 사봉면 사례 (The Effects of Health Promotion Initiatives with Community Participation and Parterships: The Case of Sabong-Myeon in Jinju City)

  • 정백근;김장락;강윤식;박기수
    • 농촌의학ㆍ지역보건
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    • 제39권4호
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    • pp.209-221
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    • 2014
  • 본 연구는 2008년부터 2011년까지 진주시 사봉면에서 진행된 '사봉면 건강한 마을 만들기 사업'과 '건강플러스 행복플러스 사업'이 사봉면민들의 건강에 영향을 미쳤는지를 주요 건강지표 및 사회적 자본의 변화를 통하여 파악함으로써 지역사회 조직화 전략의 타당성을 검증하고자 수행되었다. 본 연구에 활용된 자료원은 2008년에 실시된 '사봉면 지역보건지표 및 사회복지욕구 조사'와 2011년에 실시된 '건강플러스 행복플러스 사업 지역사회 조사' 자료이며 총 520명을 조사대상자로 설정하였다. 분석 대상 변수는 2008년 조사와 2011년 조사에서 모두 측정된 사회인구학적 변수와 건강행태 변수, 정신건강 변수, 사회적 자본 변수로 하였다. 사회인구학적 변수는 성, 연령, 교육수준, 결혼상태를, 건강행태 변수로는 흡연, 남자 고위험 음주, 중등도 이상 신체활동 실천 여부, 걷기운동 여부를 측정하였다. 또한, 정신건강변수는 스트레스 인지, 우울감 경험과 자살생각을, 사회적 자본 변수는 신뢰와 호혜를 측정하였다. 분석 결과, 흡연률과 걷기 실천율은 통계적으로 유의하게 증가하였으며, 남자 고위험 음주율은 통계적으로 유의하게 감소하였다. 스트레스 인지율, 우울감 경험률, 자살생각률은 모두 통계적으로 유의하게 감소하였으며, 신뢰, 호혜와 관련된 사회적 자본을 보유하고 있는 사람들의 비율은 통계적으로 유의하게 증가하였다. 또한, 사회적 자본 수준이 높은 사람들의 비율은 2008년 62.7%에서 2011년 85.5%로 증가하였고, 이는 통계적으로 유의하였다. 사회적 자본 수준이 높은 사람들의 비율은 성 및 결혼 상태와 관계 없이 통계적으로 유의하게 증가하였고, 중졸 이하의 학력을 가진 사람들에서 통계적으로 유의하게 증가하였다. 참여와 파트너쉽에 근거한 지역 기반 사업에 해당하는 사봉면의 사업들은 걷기 실천률과 남자 고위험 음주율을 개선하는데 긍정적인 기여를 하였으며, 지역주민들의 정신건강수준을 개선한 것으로 평가된다. 또한, 사회적 자본을 축적하는데 기여함으로써 향후 사업의 긍정적 효과를 만들어 낼 수 있는 기반을 마련한 것으로 판단된다. 이런 상황들이 진주시 사봉면의 다양한 건강지표들에 미치는 장기적인 영향에 대해서는 지속적인 연구가 필요하다. 또한, 이러한 종류의 사업에 적합한 평가 방법을 적용하여 참여와 파트너쉽에 근거한 지역 기반 사업으로부터 도출할 수 있는 교훈들을 확보해야 한다.

산업장의 소음폭로수준과 근로자의 스트레스 증상간의 관련성 (The Relationship between Noise Exposure Level in Worksite and Workers' Stress Symptoms)

  • 박경옥;이명선
    • Journal of Preventive Medicine and Public Health
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    • 제29권2호
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    • pp.239-254
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    • 1996
  • Health services on industrial noisy environment have been provided only for noise-induced hearing loss management until now. But gradually, modem diseases and death have come to be related to stress and mental health deeply, therefore noise-induced mental disorder, like a stress became very important. In this point, the purpose of this study was to analyze the relationship between noise exposure level in worksite and workers' stress symptoms. This study included a survey of 786 manual workers selected from 89 worksites in 21 factories in Puchon. The results were as follows: 1. For demographic characteristics, most of the workers were males(80.8%), the $20\sim29years$ old were 34.5% and those who graduated from high school were 65.3%. The workers whose monthly income ranged from 100,000 to 800,000 won were 37.5% and who have a religion were 47.9%. 2. For occupational characteristics, workers who had worked $1\sim5$ years in the factories were 33.0%. Those who were much for them workload were 43.9% and who worked more than 8 hours a day were 73.9%. Those who were disatisfied with their job and pay were 31.9% and 50.6%. The workers who responsed ventilation condition of their worksites were bad were 51.9% and the dissatisfed with working environment of their worksites were 45.9%. 3. Workers who were suffering from tinnitus were 53.3% and those who perceived hearing loss were 50.1%. Persons who reported they always wore earplugs at work were 35.4%. Those who felt earplugs bigger than their ears were 30.6% and those who experienced eardiseases caused by earplugs were 25.6%. 4. For the noise exposure level in worksite, workers who were exposed to $80\sim90dB$ were 30.3%, $90\sim100dB$ were 26.4% and $50\sim70dB$ were 19.2%. 5. Workers' stress symptoms were significantly related to marital status and their monthly income(p<0.05). Workers who were single and had lower monthly income showed higher PSI (Psychiatric Symptom Index) scores than those who were married and had higher monthly income. Higher PSI scores were also significantly related to $1\sim2$ days hight-work per week, much for them workload, dissatisfaction with their job, and bad relationship with their bosses and coworkers. 6. Higher PSI scores were significantly related to severe tinnitus and perceived hearing losso(p<0.001). Workers who felt the earplugs they use did not fit their ears showed significantly higher PSI scores(p<0.01). Workers who reported that they did not feel they need earplugs showed. significantly higher PSI scores (p<0.05). Increased experience of eardisease caused by earplugs that did not fit were also significantly related to higher PSI scores(p<0.01). 7. The higher noise exposure level in worksite from 80dB was, the more severe stress symptoms including PSI subparts were reported; Anxiety, Anger, Depression, and Cognitive disorder(p<0.001). 5. According to the results of stepwise multiple regression analysis, factors affecting workers' PSI scores were perceived hearing loss$(R^2=0.160)$, noise exposure level in worksite$(R^2=0.110)$, realtionship with coworkers, amount of workload, monthly income and relationship with bosses orderly and the total $R^2$ of this 6 factors was 0.371. 9. The most significant factors that have impact on manual workers' stress symptoms were perceived hearing loss and noise exposure level in worksite, especially noise exposure level in the worksite was the most affective factor on the depression symptom.

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